We have achieved significant improvements in Quality over the last few years, in infection control, clinical care pathway developments, harm free care reduction and improved patient experience. Whilst we are pleased with these improvements, we are continually looking at ways in which we can improve the quality and safety of the care we provide to or patients.
In 2016 we launched our three-year Quality Strategy
Nursing Care Indicators
Nursing Care Indicators are a performance measure of the quality of nursing care provided to patients whilst in hospital or receiving care in the patient’s own home in the community setting, they measure key areas relating to patient safety and quality of care, these are:
Infection Control Assessment
Privacy and Dignity
Care of the Dying Patient
View the Data
Our overall aim when introducing these performance measures, was to reduce harm and improve patient outcomes and experience. Key themes for measurement were identified from complaints, the patient’s survey and results from the Trust documentation audit, the benchmarks held within the essence of care benchmarking tool, and assessments against Trust Nursing Practice Standards.
Benchmarking our Nursing care serves to drive our standards up. Our metrics are visible and therefore by using this system we can ensure that accountability is firmly placed on the nurses providing the bedside care. We have learned from this process and as a result have made significant reductions in patient harm. Compliance with Nursing Care Indicators, for example recording of observations and risk assessment for the prevention of pressure ulcers, have ensured that Nurses can make the link between the ongoing assessment of patient care and patient outcomes. By improving the monitoring of vital signs we have reduced harm from deterioration and failure to rescue rates. By including the Care of the Dying Indicators, we hope to improve referral times and care of relatives.
The Trust recognises that it has set high standards to be achieved, a performance score of over 95% is required to achieve green compliance status. Each month, the Executive Directors review each division’s Nursing Care Indicator results as part of their performance review. In order to address any areas for improvement, the Head Nurses closely analyse each area for trends and non-compliance and instigate improvement plans to reflect any changes in practise required on a monthly basis.
The Trust launched Nursing Care Indicators into the community setting in 2013 and has seen a continuous improvement in all areas.
Research and Development
Research and clinical trials are a daily part of the work of the Trust. We want to look into new ways to prevent, manage and treat diseases for the people of Blackpool, the Fylde coast and beyond.
Research and clinical trials range from observational studies and questionnaires, to highly complex, randomised controlled trials testing new drugs, devices and therapies, on often rare conditions.
We work with other NHS organisations, universities, charities and the pharmaceutical industry both in the United Kingdom and overseas.
The research staff are mostly the same doctors and health professionals patients will see at their appointments. We also have a team of Research Nurses, Research Assistant Practitioners, Clinical Trials Administrators, Coordinators and Medical Records Clerk. We are support by a Pharmacy Clinical Trials team.
The Clinical Research Centre was opened in July 2012. It is a purposely designed research unit in the heart of Blackpool Victoria Hospital where patients can join research studies and receive their care as part of a study.
Doctors, health professionals and patients need evidence from clinical trials to know which treatments work best. Without research evidence, there is a risk that people could be given treatments that have no benefit, that waste NHS resources and that might even be harmful. Each day patients take part in clinical trials across a number of different disease areas within the Trust.
The Trust has a target set by the National Institute of Health Research (NIHR) on the number of patients the Trust has to recruit each year to research studies. Since 2008, over 15,000 patients have joined studies at this Trust. The graphs show the number of patients recruited by year in clinical trials and by month for with target 2017/18 (to date).
The Trust currently has over 140 research studies running at any one time across 20 different disease areas. To find out more about research at Blackpool Teaching Hospitals, go to https://www.bfwh.nhs.uk/our-services/hospital-services/research-and-development/ or find studies open at this Trust search the Clinical Trials Gateway at www.ukctg.nihr.ac.uk or email firstname.lastname@example.org.